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Trauma Recidivism Following Implementation of a Hospital-Linked Community-Based Violence Program
Ayla T Nguyen1, Alexander Gerken1, Joan Joshy1
1Department of Surgery, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri; Department of Surgery, University Health Truman Medical Center, Kansas City, Missouri.
Introduction:
Aim4Peace (A4P) is a hospital-linked community-based violence prevention program that aims to reduce violent crime. Trauma recidivism was studied before and after program implementation at an urban trauma center.
Methods:
A4P was implemented in 2008. Patients with penetrating injuries from intentional violence were retrospectively identified at an urban Level 1 trauma center. Preintervention patient records from 2006 to 2007 were reviewed, along with postintervention records from 2016 to 2017 and 2021 to 2023. Three-year and 8-y recidivism was compared in the preintervention and postintervention cohorts.
Results:
The analytic cohort included 1346 patients. Multivariate logistic regression revealed a significant difference in 3-y (odds ratio 0.34, 95% confidence interval 0.19-0.63, P < 0.001) and 8-y recidivism (odds ratio 0.35, 95% confidence interval 0.20-0.60, P < 0.001) between the pre- and post-intervention cohorts after adjusting for age, sex, and race.
Conclusions:
Trauma recidivism rates were significantly lower following the implementation of the A4P program.
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